The Differential Diagnosis of Fluorosis

Bibliographic Data

ID13582337
AuthorsDavid G Pendrys (UConn Health, corresponding author)
Year1999
Volume59
Issue4
Pages235-238
Publication date1999-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Public Health Dentistry (JOURNAL)
Journal identifiersISSN: 0022-4006 • E-ISSN: 1752-7325
PublisherWiley (PUBLISHER • GB)
DOI10.1111/j.1752-7325.1999.tb03275.x
PMID10682329
OpenAlexW2048993238
LanguageEN
Citations received2
References cited14

Following the introduction of the first fluorosis index by Dean, a series of fluorosis indexes were introduced. While they may differ in the specific way fluorosis is categorized, they all nevertheless use the same underlying diagnostic signs--originally described by Dean, Black, and McKay--that were causally linked to the development of enamel in areas with above-optimum fluoride in the drinking water. Underlying the various fluorosis indexes is the belief that specific clinical diagnostic criteria, based upon established clinical signs, can be utilized to differentiate fluorotic from nonfluorotic enamel opacities. These criteria repeatedly have been substantiated in studies in which the presence of enamel fluorosis, identified by clinical differential diagnosis, has been associated with fluoride exposure history. Further, to whatever extent nonfluorotic opacities have been misdiagnosed as fluorosis, observed estimates of association derived from analytical studies will have been underestimated

Dental enamel · Dental fluorosis · Differential diagnosis · Enamel paint · Fluoride · Pathology · Bone and Dental Protein Studies · Chemistry · Dental Health and Care Utilization · Dentistry · Fluoride Effects and Removal · Medicine

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